Active NPI
Donovan W.C.K.Young, DDS, LLC
- Dental Clinic/Center
- Honolulu, HI
National Provider Identifier
1073874400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1785
- Legal business name
- DONOVAN W.C.K.YOUNG, DDS, LLC
- Practice address
- 1441 Kapiolani Blvd
Suite 803
Honolulu, HI 96814 - Phone
- (808) 258-3958
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donovan W.C.K. Young, DDS
- Title
- Owner
- Phone
- (808) 258-3958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1785 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd
Suite 803
Honolulu, HI 96814
Mailing address
1441 Kapiolani Blvd Ste 803
Honolulu, HI 96814-4404
Phone (808) 258-3958
National Provider Directory
National Provider DirectoryLocations
1441 Kapiolani Blvd
Ste 803
Honolulu, HI 96814
Phone (808) 599-0481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338508800000",
"number": "1073874400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 803",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144404",
"telephone_number": "808-258-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE 803",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-258-3958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONOVAN W.C.K.YOUNG, DDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "DONOVAN",
"authorized_official_middle_name": "W.C.K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-258-3958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "HI",
"license": "1785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.